WO2006042037A1 - Ortheses dentaires, methodes de traitement pour fonctions buccales lesees et preconisations correspondantes - Google Patents

Ortheses dentaires, methodes de traitement pour fonctions buccales lesees et preconisations correspondantes Download PDF

Info

Publication number
WO2006042037A1
WO2006042037A1 PCT/US2005/036029 US2005036029W WO2006042037A1 WO 2006042037 A1 WO2006042037 A1 WO 2006042037A1 US 2005036029 W US2005036029 W US 2005036029W WO 2006042037 A1 WO2006042037 A1 WO 2006042037A1
Authority
WO
WIPO (PCT)
Prior art keywords
orthotic
oral
user
tongue
contours
Prior art date
Application number
PCT/US2005/036029
Other languages
English (en)
Inventor
Farrand C. Robson
Original Assignee
Robson Farrand C
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Priority claimed from US10/962,004 external-priority patent/US20060078840A1/en
Application filed by Robson Farrand C filed Critical Robson Farrand C
Publication of WO2006042037A1 publication Critical patent/WO2006042037A1/fr

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F5/00—Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
    • A61F5/56—Devices for preventing snoring
    • A61F5/566—Intra-oral devices

Definitions

  • the present invention generally relates to apparatus and methods for preventing, reducing or eliminating impaired oral functions and indications caused thereby and/or resulting therefrom.
  • the present invention relates to an oral appliance, such as a dental orthotic, and to methods of diagnosing, selecting and designing such orthotics to treat certain indications.
  • Oral appliances are sometimes used to treat and relieve upper airway disorders causing impairment of the primary oral functions of swallowing, speaking, and breathing, as well as obstructive sleep apnea (OSA) and snoring.
  • OSA sleep apnea
  • the present inventor previously developed an orthotic designed to elevate the tongue vertically and move it forward to reduce or eliminate such symptoms, a design that is the subject of U.S. Patent No. 5,752,822.
  • Another particular orthotic, having top and bottom trays shaped to conform to a patient's dentition, has also been used to reduce such symptoms.
  • That orthotic which is the subject of U.S. Patent No. 5,794,627, comprises an elastic band extending between the top and bottom trays, and functions by pulling the jaw forward.
  • the present inventor's previous invention has been known to result in users correcting forward head posture and thus to reduce or eliminate some of these indirect symptoms, such as aches and other discomfort.
  • No known oral orthotic has been designed to manage symptoms beyond upper airway disorders or those symptoms known to be closely associated with upper airway disorders.
  • the present invention is directed toward various apparatus and methods for altering the position, configuration and freedom of movement of selected portions of the tongue and mouth to correct not only upper airway disorders, but also body compensations and indications previously not recognized as being caused by such compensations.
  • Embodiments of the present invention include a mandibular orthotic conforming to at least a portion of the user's mandibular dentition and having opposing first and second side portions.
  • the side portions may be connected by an extension therebetween.
  • An inward projection from at least one of the side portions may be incorporated for supporting the user's tongue thereon or for carrying selected orthotic contours, as described below.
  • a surface of one or both side portions of the mandibular orthotic includes one or more oral contours located, sized and/or shaped to selectively modify the user's tongue/tooth/mouth interaction to create specific physiological responses.
  • the tongue responds when it touches the teeth and tissues in the mouth, and responsive muscle contraction in the tongue affects the shape and positioning of the tongue in the mouth.
  • the shape and position of the tongue affects the tissue in the throat.
  • the orthotic in general, and the oral contours in particular, change the shape of the mouth, which changes the responsive muscle contractions in the tongue, resulting in a repositioning of the tongue and the tissue of the mouth and throat.
  • This repositioning improves oral functions and relieves the body from its compensatory neuromuscular responses and the resultant autonomic nervous system dysfunctions.
  • the autonomic nervous system no longer needs to react to unnatural musculoskeletal and other physiological compensatory responses caused by incorrect tongue shape or positioning, it can dedicate more of its finite energy to fighting other symptoms or correcting other indications.
  • specific orthotic contours can be sized, shaped and/or positioned on the orthotic to correct a wide variety of indications not previously associated with oral function.
  • the oral contours may take specific shapes such as protrusions, depressions, and grooves, or may have a more general shape, moving larger portions of the tongue in a desired direction.
  • the oral contours may be positioned on the first side portion, the second side portion and/or the extensions.
  • the oral contours can be made and sized by selectively sizing and forming a unitary mandibular orthotic or by adding material, such as acrylic, to an existing mandibular orthotic to build it up at selected locations. In addition to building selected areas, it is also envisioned that the relative size of selected oral contours may be decreased with respect to the surrounding surfaces to correct certain indications.
  • the dental orthotic may also include a maxillary orthotic on an upper surface of the mandibular orthotic.
  • the maxillary orthotic includes a first side portion which is positioned on a first side of an upper arrangement of teeth of the user's mouth and a second side portion which is positioned on a second side of the upper arrangement of teeth of the user's mouth.
  • the maxillary orthotic can engage the most posterior two or three teeth of the upper arrangement of teeth.
  • the maxillary orthotic may be affixed to the mandibular orthotic via adhesive to achieve more extensive forward movement of the tongue and jaw in relation to the upper teeth and throat of the user.
  • the first side portion and the second side portion of the maxillary orthotic may also include oral contours for adjusting the tongue/teeth/mouth interaction.
  • the present invention is also directed toward methods for assessing upper airway disorders, compensatory response, and resultant physiological symptoms, and for designing and fitting therapeutic dental orthotics, such as those described above.
  • the diagnostic system aids in the process of custom fitting the user's dentition and optimizes the effectiveness of the dental orthotic for each user.
  • Figure 1 is a top plan view of an oral appliance, particularly a mandibular orthotic, according to an embodiment of the present invention
  • Figure 2 is a perspective view of the oral appliance of Figure 1 , engaging a lower dentition of a user's mouth;
  • Figure 3 is a bilateral cross-sectional view of the oral appliance and mouth of Figure 2;
  • Figure 4 is a top plan view of an oral appliance, particularly a mandibular orthotic connected to a maxillary orthotic, according to another embodiment of the present invention
  • Figure 5 is a perspective view of the oral appliance of Figure 4, engaging the lower dentition of a user's mouth;
  • Figure 6 is a bilateral cross-sectional view of the oral appliance and mouth of Figure 5.
  • the 10 comprises a mandibular orthotic 12 configured to engage a lower arrangement of teeth, or lower dentition 14, of a user's mouth.
  • the illustrated mandibular orthotic 12 includes a first side portion 16 positioned to engage a first side 18 of the lower dentition 14 and a second side portion 20 positioned to engage a second side 22 of the lower dentition.
  • the first side portion 16 and the second side portion 20 may be placed over molars 24, bicuspids 26, cuspids 28 and incisors 30 in the lower arrangement of teeth 14. It is understood, however, that the first and second side portions 16,20 are designed to conform to at least one tooth on each side of the user's lower arrangement of teeth.
  • the mandibular orthotic 12 may be made of a pliable material, such as plastic or another suitable material. As shown in Figures 1 and 2, a wire 32 made of metal or other suitable material may be added to a front portion 34 between the first and second side portions 16,20. The wire 32 may provide strength and add to the longevity of use of the mandibular orthotic 12. The front portion 34 may also aid in raising a user's tongue 38, as illustrated in Figure 3.
  • the mandibular orthotic 12 may include extensions 36 for elevating a user's tongue 38 thereon.
  • the illustrated extensions 36 are provided below the first and second side portions 16,20 near a lingual side of the mandibular orthotic 12, such that the extensions are next to and under the tongue 38 when the mandibular orthotic is being worn.
  • the extensions 36 may be made of plastic or other suitable material, and may be molded as an addition to the mandibular orthotic 12 or otherwise affixed thereto.
  • each extension 36 can have a convex shape at a central region, which, when positioned beneath the tongue, elevates and advances the tongue forward toward a front 46 of a user's mouth (Figure 3).
  • the extensions 36 may be designed to conform to the soft tissue on a floor of the user's mouth. It is understood that a depth of the extensions 36 may extend less or further down into the floor of the user's mouth than that illustrated, and is dependent upon the size and shape of the user's mouth.
  • the extension 36 is sized and shaped such that the user does not experience impinging on tissue or other discomfort during use. It is also understood that at least one extension 36 is provided and extends from one of the first side portion 16 or the second side portion 20 of the mandibular orthotic 12.
  • the illustrated mandibular orthotic 12 includes a plurality of oral contours 48 that can be located, sized and shaped to address specific physiological symptoms in the user through distinct combinations of tongue, mouth and teeth interaction.
  • the oral contours 48 may include specific shapes such as protrusions 50, depressions 52, and grooves 54.
  • the oral contours 48 are positioned on an inner surface of the first side portion 16 and/or the second side portion 20 of the mandibular orthotic 12, and/or may be positioned on the extensions 36.
  • the shapes of teeth and tissues in the mouth that contact the tongue may cause muscle contraction in the tongue, thereby affecting the positioning of the tongue, teeth and tissue in the throat.
  • the oral contours 48 are made, sized and shaped by selectively forming the mandibular orthotic 12 or by adding a material, such as acrylic, to the mandibular orthotic to build it up at desired locations. Similarly, in areas where there is excessive enlargement on the mandibular orthotic 12, the size of the contours 48 may be decreased.
  • the oral contours 48 change the shape of the mandibular orthotic 12 as well as the shapes within the mouth, resulting in repositioning of the tongue and tissue of the throat, thereby improving the oral functions as well as relieving neuromuscular responses and autonomic nervous system dysfunctions.
  • Second Bicuspid one-third down the upper half of the back from the shoulder to the mid back
  • Areas of muscle contraction symptoms may be controlled if adjacent muscle groups are well balanced through alteration of the dental orthotic 12.
  • the following conditions, including enlarging or decreasing the thickness, shape and position of the oral contour 48 on the dental orthotic 12 are taken into consideration when the dental orthotic is being fitted and made:
  • thumb muscle tightness and/or pain may be present and superior to the region stimulated by the first molar. There may also be discomfort in the upper neck on the opposite side.
  • thumb muscle tightness and/or pain may be present and superior to the region stimulated by the second bicuspid. There may also be discomfort in the neck near the base of the skull on the opposite side.
  • oral contours 48 are molded as an addition to the mandibular orthotic 12 described above which is molded to fit selected teeth of the user.
  • the oral contours 48 may include one contour or a plurality of contour shapes as long as the contours are provided in a manner that allows specific physiological symptoms to be addressed.
  • the relationships between oral contours 48 and specific muscle groups is not limited to those discussed above.
  • the mandibular orthotic 12 may be designed with only oral contours 48 and no extensions 36.
  • a second embodiment the dental orthotic 110 of the present invention may also include a maxillary orthotic 156, which is located on an upper portion of the mandibular orthotic 112 for engagement with at least some of the teeth of the upper dentition.
  • the maxillary orthotic 156 includes a first side portion 160, which is positioned to mate with an outer surface of a corresponding first side of the upper dentition (not shown), and a second side portion 166, which is positioned to mate with an outer surface of a second side of the upper dentition.
  • the illustrated first and second side portions 160,166 are positioned to extend over a biting surface of the teeth.
  • the illustrated maxillary orthotic 156 engages the most posterior two or three teeth of the upper arrangement of teeth.
  • the teeth covered are typically a second bicuspid, a first molar and a second molar. It is understood, however, that the first side portion 160 and the second side portion 166 are designed to conform to at least one tooth on each side of the user's upper arrangement of teeth.
  • the maxillary orthotic 156 may be affixed to the mandibular orthotic 112 to achieve more extensive forward movement of the tongue and jaw in relation to the upper teeth and throat of the user.
  • the mandibular orthotic 112 is generally placed forward relative to the position of the maxillary orthotic 156 in an advanced position which opens the airway 170 of the user and the user's bite vertically.
  • the maxillary orthotic 156 also directs the user's tongue 138 into appropriate contact with the user's lower jaw.
  • the maxillary orthotic 156 may be securely affixed to the mandibular orthotic using an adhesive substance that securely bonds two materials together by adhering to each other, such as an acrylic, or through other suitable means.
  • the maxillary orthotic 156 may include oral contours 148 on the first side portion 160 and the second side portion 166.
  • the contours 148 located on the first side portion 160 and the second side portion 166 of the maxillary orthotic 156, and therefore near the upper jaw, may direct the tongue into an appropriate relationship with the lower arrangement of teeth and the lower jaw.
  • upper central incisors must not have excessive functional contact with the tongue near the midline, which is a plane through the very center of the user's mouth perpendicular to the nose.
  • the lateral incisors must allow for passage of the tongue forward and downward.
  • the first bicuspids' lingual surfaces are positioned more lingually than the second bicuspids and direct the tongue to the inferior in this region, as does the gingival portion of the cuspid.
  • the second bicuspids are therefore more laterally positioned and allow for passage of the tongue.
  • Oral contours 148 on the lingual surfaces of the first molars may also be used to direct the tongue downward.
  • the dental orthotic 12/112 with the addition of the extensions 36/136 and oral contours 48/148, may be polished so that the user does not experience any discomfort when wearing the orthotic device 10/110, such as impinging on the floor of the user's mouth or a lateral surface of the user's tongue. It is understood that the size and shape of the dental orthotic 10/110 may vary from user to user.
  • Diagnostic methods and systems for assessing upper airway disorders and physiological symptoms may be utilized in designing and fitting the dental orthotic 10/110.
  • the diagnostic system aids in the process of custom fitting the user's dentition and optimizes the effectiveness of the dental orthotic for each user.
  • Evaluation of the user is performed by taking a highly specialized history of the user and the symptoms the user is experiencing at an initial office visit.
  • Some users experience obvious impairments of jaw functions evidenced by their speech, swallowing, eating and breathing characteristics. In other individuals, however, these functions appear normal despite experiencing significant muscle and joint dysfunction. Therefore, the history is designed to reveal deficits in oral functions, especially apparently minor impairments in the jaw's contribution to breathing, swallowing and speaking.
  • Radiographs, Video Fluoroscope and Magnetic Resonance Imaging may be used to provide valuable information about the oral function of a user before fitting and treatment with the dental orthotic. For example, imaging may reveal that a user's tongue blocks the throat and the epiglottis is obscured by a hyoid bone.
  • temporary wax can be affixed to the dental orthotic 10/110 in the shape of the proposed extensions 36/136 and contours 48/148.
  • the wax and dental orthotic 10/110 can then be covered with pressure indicating paste and the user encouraged to perform oral functions such as speaking, eating, swallowing, and breathing.
  • the dental orthotic 10/110 is removed and the pressure indicating paste assessed for areas that require removal or build up of contour. The adjustments are made to the dental orthotic 10/110 and the performance of oral functions is repeated until appropriate pressure is achieved on the desired areas corresponding to the specific characteristics of the symptoms being addressed.
  • Imaging may again be used to view anatomic relationships after treatment using the dental orthotic, 10/110 to determine whether the relationships have been partially or completely normalized.
  • the temporary wax on the dental orthotic may be replaced by plastic or other suitable permanent materials.
  • the dental orthotic 10/110 of the present invention can be an effective treatment for not only upper airway disorders and specific neuromuscular responses, but also to autonomic nervous system symptoms. These symptoms include muscular pain of the head, face, neck, back, shoulder, hip, knee, elbow, hand and any muscular component associated with the forward head posture related to impaired oral functions, for example, many of the full body effects that have been associated with Temporomandibular Joint (TMJ) concerns.
  • TMJ Temporomandibular Joint
  • autonomic nervous system symptoms such as elevated heart rate, fatigue, on-edge or stress-like feelings, cold or warm hands and feet, digestive symptoms, visual changes, fight or flight effects, disturbed sleep, sinus and nasal dysfunctions as well as many other symptoms may be associated with upper airway disorders.
  • the inventive dental orthotic 10/110 moves the tongue and jaw forward which results in the muscles in the rest of body relaxing, thus relieving symptoms and other discomforts.
  • the dental orthotic 10/110 also corrects the posture of the user.
  • the dental orthotic 10/110 has high patient acceptance, increased comfort and treatment success for a long period of time.
  • the oral appliance is shown in Figures 1 to 6 with the dental orthotics 10/110 described above, it is understood and within the scope of the present invention that the features of the present invention may be used with any conventional oral appliance, such as orthotics that use retention hooks and elastic bands, as well as orthotics for day and night time use.

Abstract

L'invention concerne une orthèse dentaire comprenant une orthèse mandibulaire épousant la dentition de l'utilisateur et dont les contours buccaux sont conçus pour agir sur les interactions langue/dents/bouche, et qui peut inclure des extensions pour le positionnement de la langue. Les contours sont étudiés et appliqués en des points précis de l'orthèse et de ses extension afin de favoriser une réponse voulue de la langue à des symptômes physiologiques spécifiques. Ces contours modifient la forme de l'orthèse mandibulaire ainsi que la forme des dents dans la cavité buccale, avec pour effet un repositionnement et/ou un remodelage de la langue et des tissus de la gorge, ce qui améliore les fonctions buccales, soulage les réponses neuromusculaires et atténue les dysfonctionnements du système nerveux autonome. L'orthèse dentaire peut comprendre une orthèse maxillaire fixe par rapport à orthèse mandibulaire.
PCT/US2005/036029 2004-10-08 2005-10-07 Ortheses dentaires, methodes de traitement pour fonctions buccales lesees et preconisations correspondantes WO2006042037A1 (fr)

Applications Claiming Priority (4)

Application Number Priority Date Filing Date Title
US61747204P 2004-10-08 2004-10-08
US10/962,004 US20060078840A1 (en) 2004-10-08 2004-10-08 Dental orthotic for management of impaired oral functions
US10/962,004 2004-10-08
US60/617,472 2004-10-08

Publications (1)

Publication Number Publication Date
WO2006042037A1 true WO2006042037A1 (fr) 2006-04-20

Family

ID=36148661

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2005/036029 WO2006042037A1 (fr) 2004-10-08 2005-10-07 Ortheses dentaires, methodes de traitement pour fonctions buccales lesees et preconisations correspondantes

Country Status (2)

Country Link
US (1) US20060110698A1 (fr)
WO (1) WO2006042037A1 (fr)

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2009048475A1 (fr) * 2007-10-12 2009-04-16 Align Technology, Inc. Appareil de prosthodontie et d'orthodontie et procédés
WO2015132649A1 (fr) * 2014-03-04 2015-09-11 Lettieri Clelia Appareil orthodontique orthopédique fonctionnel
EP3182942A4 (fr) * 2014-08-22 2018-04-25 Hibobi Pty Ltd. Dispositif d'immobilisation passive de la langue
CN108472103A (zh) * 2015-10-09 2018-08-31 约翰·H·库利 正畸组件

Families Citing this family (69)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US11026768B2 (en) 1998-10-08 2021-06-08 Align Technology, Inc. Dental appliance reinforcement
US9492245B2 (en) 2004-02-27 2016-11-15 Align Technology, Inc. Method and system for providing dynamic orthodontic assessment and treatment profiles
US20070224567A1 (en) * 2006-01-06 2007-09-27 Robson Farrand C Dental orthotic and methods of using the same
US20080076094A1 (en) * 2006-09-27 2008-03-27 Jeffrey Hindin System And Method For Facilitating Adjustment Of An Oral Appliance
US7878805B2 (en) 2007-05-25 2011-02-01 Align Technology, Inc. Tabbed dental appliance
WO2009034205A1 (fr) * 2007-09-14 2009-03-19 Duran Von Arx Jose Stimulateur de musculature faciale et buccale
US8738394B2 (en) 2007-11-08 2014-05-27 Eric E. Kuo Clinical data file
US20090165805A1 (en) * 2007-12-30 2009-07-02 Oral Technology, Llc Mouth Guard
US8108189B2 (en) 2008-03-25 2012-01-31 Align Technologies, Inc. Reconstruction of non-visible part of tooth
US8783259B2 (en) * 2008-05-02 2014-07-22 Cadwell Therapeutics, Inc. Oral appliance for improved nocturnal breathing
US9492243B2 (en) 2008-05-23 2016-11-15 Align Technology, Inc. Dental implant positioning
US8092215B2 (en) 2008-05-23 2012-01-10 Align Technology, Inc. Smile designer
US8172569B2 (en) 2008-06-12 2012-05-08 Align Technology, Inc. Dental appliance
US8152518B2 (en) 2008-10-08 2012-04-10 Align Technology, Inc. Dental positioning appliance having metallic portion
US8292617B2 (en) 2009-03-19 2012-10-23 Align Technology, Inc. Dental wire attachment
US8765031B2 (en) 2009-08-13 2014-07-01 Align Technology, Inc. Method of forming a dental appliance
US9211166B2 (en) 2010-04-30 2015-12-15 Align Technology, Inc. Individualized orthodontic treatment index
US9241774B2 (en) 2010-04-30 2016-01-26 Align Technology, Inc. Patterned dental positioning appliance
CN103002841A (zh) 2010-06-07 2013-03-27 斯利皮股份有限公司 保持舌头的口腔器具
US9403238B2 (en) 2011-09-21 2016-08-02 Align Technology, Inc. Laser cutting
US20130104911A1 (en) * 2011-11-01 2013-05-02 Jeffrey S. Luffey Oral appliance
US9375300B2 (en) 2012-02-02 2016-06-28 Align Technology, Inc. Identifying forces on a tooth
US9022781B2 (en) * 2012-02-15 2015-05-05 Align Technology, Inc. Orthodontic appliances that accommodate incremental and continuous tooth movement, systems and methods
US9220580B2 (en) 2012-03-01 2015-12-29 Align Technology, Inc. Determining a dental treatment difficulty
US9414897B2 (en) 2012-05-22 2016-08-16 Align Technology, Inc. Adjustment of tooth position in a virtual dental model
US10449016B2 (en) 2014-09-19 2019-10-22 Align Technology, Inc. Arch adjustment appliance
US9610141B2 (en) 2014-09-19 2017-04-04 Align Technology, Inc. Arch expanding appliance
US9744001B2 (en) 2014-11-13 2017-08-29 Align Technology, Inc. Dental appliance with cavity for an unerupted or erupting tooth
CN107106260A (zh) * 2014-12-30 2017-08-29 3M创新有限公司 提供暴露的咬合面的牙科器具
US10504386B2 (en) 2015-01-27 2019-12-10 Align Technology, Inc. Training method and system for oral-cavity-imaging-and-modeling equipment
US9757211B2 (en) * 2015-10-20 2017-09-12 Robert Ward Stents for placement of orthodontic attachments, and methods of producing and using such stents
US11554000B2 (en) 2015-11-12 2023-01-17 Align Technology, Inc. Dental attachment formation structure
US11931222B2 (en) 2015-11-12 2024-03-19 Align Technology, Inc. Dental attachment formation structures
US11103330B2 (en) 2015-12-09 2021-08-31 Align Technology, Inc. Dental attachment placement structure
US11596502B2 (en) 2015-12-09 2023-03-07 Align Technology, Inc. Dental attachment placement structure
US10470847B2 (en) 2016-06-17 2019-11-12 Align Technology, Inc. Intraoral appliances with sensing
US10383705B2 (en) 2016-06-17 2019-08-20 Align Technology, Inc. Orthodontic appliance performance monitor
KR102595753B1 (ko) 2016-07-27 2023-10-30 얼라인 테크널러지, 인크. 치아 진단 기능이 있는 구강 내 스캐너
CN113648088B (zh) 2016-11-04 2023-08-22 阿莱恩技术有限公司 用于牙齿图像的方法和装置
AU2017366755B2 (en) 2016-12-02 2022-07-28 Align Technology, Inc. Methods and apparatuses for customizing rapid palatal expanders using digital models
US11376101B2 (en) 2016-12-02 2022-07-05 Align Technology, Inc. Force control, stop mechanism, regulating structure of removable arch adjustment appliance
US11026831B2 (en) 2016-12-02 2021-06-08 Align Technology, Inc. Dental appliance features for speech enhancement
EP3547952B1 (fr) 2016-12-02 2020-11-04 Align Technology, Inc. Appareil d'expansion palatine
US10548700B2 (en) 2016-12-16 2020-02-04 Align Technology, Inc. Dental appliance etch template
US10779718B2 (en) 2017-02-13 2020-09-22 Align Technology, Inc. Cheek retractor and mobile device holder
US10613515B2 (en) 2017-03-31 2020-04-07 Align Technology, Inc. Orthodontic appliances including at least partially un-erupted teeth and method of forming them
US11045283B2 (en) 2017-06-09 2021-06-29 Align Technology, Inc. Palatal expander with skeletal anchorage devices
WO2019005808A1 (fr) 2017-06-26 2019-01-03 Align Technology, Inc. Indicateur de performance de biocapteur pour appareils intrabuccaux
US10885521B2 (en) 2017-07-17 2021-01-05 Align Technology, Inc. Method and apparatuses for interactive ordering of dental aligners
WO2019018784A1 (fr) 2017-07-21 2019-01-24 Align Technology, Inc. Ancrage de contour palatin
CN115462921A (zh) 2017-07-27 2022-12-13 阿莱恩技术有限公司 牙齿着色、透明度和上釉
WO2019035979A1 (fr) 2017-08-15 2019-02-21 Align Technology, Inc. Évaluation et calcul de couloir buccal
US11123156B2 (en) 2017-08-17 2021-09-21 Align Technology, Inc. Dental appliance compliance monitoring
US10813720B2 (en) 2017-10-05 2020-10-27 Align Technology, Inc. Interproximal reduction templates
CN114939001A (zh) 2017-10-27 2022-08-26 阿莱恩技术有限公司 替代咬合调整结构
EP3703608B1 (fr) 2017-10-31 2023-08-30 Align Technology, Inc. Détermination d'un appareil dentaire à chargement occlusif sélectif et intercuspidation contrôlée
CN115252177A (zh) 2017-11-01 2022-11-01 阿莱恩技术有限公司 自动治疗规划
WO2019100022A1 (fr) 2017-11-17 2019-05-23 Align Technology, Inc. Dispositifs de retenue orthodontiques
US10792128B2 (en) * 2017-11-30 2020-10-06 Richter Orthodontics, P.C. Orthodontic settling retainer
WO2019108978A1 (fr) 2017-11-30 2019-06-06 Align Technology, Inc. Capteurs pour surveiller des appareils buccaux
WO2019118876A1 (fr) 2017-12-15 2019-06-20 Align Technology, Inc. Méthodes et appareils de traitement orthodontique adaptatif à boucle fermée
US10980613B2 (en) 2017-12-29 2021-04-20 Align Technology, Inc. Augmented reality enhancements for dental practitioners
CA3086553A1 (fr) 2018-01-26 2019-08-01 Align Technology, Inc. Numerisation intra-orale et suivi aux fins de diagnostic
US11937991B2 (en) 2018-03-27 2024-03-26 Align Technology, Inc. Dental attachment placement structure
WO2019200008A1 (fr) 2018-04-11 2019-10-17 Align Technology, Inc. Appareils d'expansion palatine libérables
US11944511B2 (en) * 2019-06-17 2024-04-02 Dentsply Sirona Inc. Additively manufactured denture base with bracing body
KR20230118726A (ko) * 2022-02-04 2023-08-14 연세대학교 산학협력단 치아 리테이너 및 그 제조 방법
JP2023127580A (ja) * 2022-03-01 2023-09-13 利彰 牛込 歯科矯正装置
CN115120368A (zh) * 2022-05-12 2022-09-30 浙江省人民医院 一种可牵引低位萌出尖牙的隐形矫治器

Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4718662A (en) * 1985-12-26 1988-01-12 North Richard B Tongue positioning and exercising device
US5683244A (en) * 1995-07-10 1997-11-04 Truax; Lloyd H. Dental appliance to correct malocclusion
US5884628A (en) * 1997-03-17 1999-03-23 Hilsen; Kenneth Snoring device
EP1205157A1 (fr) * 1999-03-26 2002-05-15 Masakazu Uenishi Embout buccal
US6626180B1 (en) * 2000-09-08 2003-09-30 Bite Tech, Inc. Quadruple composite performance enhancing dental appliance
US20030190576A1 (en) * 2000-04-25 2003-10-09 Align Technology, Inc. A Delaware Corporation Embedded features and methods of a dental appliance
US20030207224A1 (en) * 2002-05-01 2003-11-06 Lotte Brian Walter Patient specific bite positioner

Family Cites Families (16)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3871370A (en) * 1973-07-05 1975-03-18 Lee E Mcdonald Tongue-thrust correction appliance
US4715368A (en) * 1986-08-06 1987-12-29 George Peter T Nocturnal airway-patency appliance
US5092346A (en) * 1987-10-13 1992-03-03 Hays & Meade, Inc. Dental orthosis for alleviation of snoring
US4784605A (en) * 1987-10-13 1988-11-15 Bergersen Earl Olaf Orthodontic appliance to correct open-bite tendencies in children and adults and tongue-thrust in young children
US4898535A (en) * 1988-04-11 1990-02-06 Bergersen Earl Olaf Self-opening preformed activator and positioner
US5117816A (en) * 1991-01-03 1992-06-02 Shapiro Norman A Anti-snore device
US5365945A (en) * 1993-04-13 1994-11-22 Halstrom Leonard W Adjustable dental applicance for treatment of snoring and obstructive sleep apnea
US5562106A (en) * 1994-04-20 1996-10-08 Heeke; David W. Dental appliance for relief of snoring and method of making same
US5513656A (en) * 1995-03-27 1996-05-07 Boyd, Sr.; James P. Intraoral semi-custom discluder device
US5794627A (en) * 1995-06-23 1998-08-18 Frantz; Don E. Disposable mandibular advancement appliance
US5947724A (en) * 1995-06-23 1999-09-07 Frantz; Don E. Elastic mandibular advancement appliance with slide-in bite planes
US5752822A (en) * 1997-03-13 1998-05-19 Robson; Farrand C. Apparatus for relieving upper airway disorders and related problems
US20020192617A1 (en) * 2000-04-25 2002-12-19 Align Technology, Inc. Embedded features and methods of a dental appliance
CA2484059A1 (fr) * 2002-05-30 2003-12-11 Ortho-Tain, Inc. Appareils dentaires possedant des moities superieure et inferieure et systemes et procedes de traitement de malocclusions
US20040009449A1 (en) * 2002-07-09 2004-01-15 James Mah Removable expansion appliance
US7147466B1 (en) * 2003-10-24 2006-12-12 Dentsply International, Inc. Pressure indicator gel system and method therefore

Patent Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4718662A (en) * 1985-12-26 1988-01-12 North Richard B Tongue positioning and exercising device
US5683244A (en) * 1995-07-10 1997-11-04 Truax; Lloyd H. Dental appliance to correct malocclusion
US5884628A (en) * 1997-03-17 1999-03-23 Hilsen; Kenneth Snoring device
EP1205157A1 (fr) * 1999-03-26 2002-05-15 Masakazu Uenishi Embout buccal
US20030190576A1 (en) * 2000-04-25 2003-10-09 Align Technology, Inc. A Delaware Corporation Embedded features and methods of a dental appliance
US6626180B1 (en) * 2000-09-08 2003-09-30 Bite Tech, Inc. Quadruple composite performance enhancing dental appliance
US20030207224A1 (en) * 2002-05-01 2003-11-06 Lotte Brian Walter Patient specific bite positioner

Cited By (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2009048475A1 (fr) * 2007-10-12 2009-04-16 Align Technology, Inc. Appareil de prosthodontie et d'orthodontie et procédés
US8807999B2 (en) 2007-10-12 2014-08-19 Align Technology, Inc. Prosthodontic and orthodontic apparatus and methods
US11227074B2 (en) 2007-10-12 2022-01-18 Align Technology, Inc. Prosthodontic and orthodontic apparatus and methods
US11270033B2 (en) 2007-10-12 2022-03-08 Align Technology, Inc. Prosthodontic and orthodontic apparatus and methods
WO2015132649A1 (fr) * 2014-03-04 2015-09-11 Lettieri Clelia Appareil orthodontique orthopédique fonctionnel
EP3182942A4 (fr) * 2014-08-22 2018-04-25 Hibobi Pty Ltd. Dispositif d'immobilisation passive de la langue
AU2015306093B2 (en) * 2014-08-22 2019-06-27 Hibobi Pty Ltd Passive tongue retention device
CN108472103A (zh) * 2015-10-09 2018-08-31 约翰·H·库利 正畸组件

Also Published As

Publication number Publication date
US20060110698A1 (en) 2006-05-25

Similar Documents

Publication Publication Date Title
US20060110698A1 (en) Dental orthotic devices and methods for management of impaired oral functions and resultant indications
US20060078840A1 (en) Dental orthotic for management of impaired oral functions
US9968419B2 (en) Method and oral appliance for improving air intake and reducing bruxism
US8201560B2 (en) Flexible dental appliance
JP4567678B2 (ja) 取外しが可能な口腔矯正鼾止窒息防止器
US7661955B2 (en) Dental appliance
EP0697844B1 (fr) Appareil dentaire pour le traitement du ronflement et de l'apnee obstructive du sommeil
US6729335B1 (en) Dental appliance for treatment of snoring and obstructive sleep apnea
CA2735032C (fr) Appareil intrabuccal pour le traitement des troubles des voies aeriennes superieures
US20070224567A1 (en) Dental orthotic and methods of using the same
US11129746B2 (en) Method and oral appliance for improving air intake and reducing bruxism
US20130112210A1 (en) Oral Sleep Apnea Device
RU2721654C1 (ru) Ортодонтическое эластичное устройство для коррекции зубо-черепно-лицевого аппарата
US20190117442A1 (en) Bruxism treatment apparatus
JP2018531059A6 (ja) 歯−頭蓋骨−顔面機器のための歯列矯正用弾性調整装置
US8105210B2 (en) Jaw relaxation exercise appliance
Warunek Oral appliance therapy in sleep apnea syndromes: a review
WO2019060624A2 (fr) Systèmes, procédés et dispositifs pour traiter des troubles de la bouche et de la mâchoire
US20190336321A1 (en) Intraoral device
KR102425662B1 (ko) 턱관절 교정 장치
Green Case presentation: resolution of an oral lesion as a result of orofacial myofunctional therapy

Legal Events

Date Code Title Description
AK Designated states

Kind code of ref document: A1

Designated state(s): AE AG AL AM AT AU AZ BA BB BG BR BW BY BZ CA CH CN CO CR CU CZ DE DK DM DZ EC EE EG ES FI GB GD GE GH GM HR HU ID IL IN IS JP KE KG KM KP KR KZ LC LK LR LS LT LU LV LY MA MD MG MK MN MW MX MZ NA NG NI NO NZ OM PG PH PL PT RO RU SC SD SE SG SK SL SM SY TJ TM TN TR TT TZ UA UG US UZ VC VN YU ZA ZM ZW

AL Designated countries for regional patents

Kind code of ref document: A1

Designated state(s): BW GH GM KE LS MW MZ NA SD SL SZ TZ UG ZM ZW AM AZ BY KG KZ MD RU TJ TM AT BE BG CH CY CZ DE DK EE ES FI FR GB GR HU IE IS IT LT LU LV MC NL PL PT RO SE SI SK TR BF BJ CF CG CI CM GA GN GQ GW ML MR NE SN TD TG

121 Ep: the epo has been informed by wipo that ep was designated in this application
NENP Non-entry into the national phase

Ref country code: DE

122 Ep: pct application non-entry in european phase

Ref document number: 05807501

Country of ref document: EP

Kind code of ref document: A1